Uric acid has been known for a long time. In fact, Hipocrates have mentioned about this disease in his writings. Hipocrates called gout gout with the term derived from the word gutta meaning droplet. It is said that gout posed by malicious hatchlings, into the joints.
Basically, gout is a form of purine metabolism disorders. As a result of this disorder, the levels of uric acid (the end product of purine metabolism) in the blood become excessive. Patients with gout uric acid produces 3-15 times more than normal circumstances it should (1000 mg / day) This disease mostly affects men over 40 and women who have menopause.
Have gout symptoms namely joint pain, especially in the big toe joint which kemudan spread to the legs. At first gout attack lasts a few days and then it subsides for a few months. But then the attacks became more frequent, more severe pain and longer time duration. Sometimes the pain is accompanied by swelling and stiff joints.
1. Purine Diet
Practically it is impossible to eliminate purines in the diet everyday because almost all types of foods contain nucleoprotein which is the origin of purines. But how many meals a main priority to be avoided because it has a high purine content.
Foods that contain high purine is the liver, kidneys, brain, heart, lung, other organ meats, shrimp, mussels, clams, sardines, herring, meat extract (shredded, dried beef), yeast (tape), as well as canned food. Meals contain 150-800 mg of purines per 100 grams. Foods that contain purines moderate (50-150 mg/100 grams) is, beef, shellfish, dried beans, cauliflower, spinach, asparagus, green beans, mushrooms, cassava leaves, papaya leaves, kale. For patients with acute gout, highly recommended to do the purine diet is 100-150 mg per day.
2. Fat Diet
Excessive fat intake sebainya not done because it would interfere with fat excretion of uric acid. Therefore, limit the consumption of milk, fatty meats, margarine, butter or meal mixed with oil. It is recommended fat intake by only 15 percent of total calories. Healthy people are encouraged to consume fat up to 25 percent of total calories. Basically burning fat calories will increase blood ketone (ketosisi) and this will prevent the disposal of uric acid in the urine.
3. Carbohydrate and Protein
Carbohydrate intake should be considered. Carbohydrates have a tendency to increase spending uric acid via urine. However, that should be consumed is a complex carbohydrate. Simple carbohydrates, such as honey, syrup, jam lunkhead and it will be able to remind uric acid.
Recommended protein intake is sufficient and not excessive because the protein can stimulate the biosynthesis of uric acid in the body. Some foods can be consumed protein sources are eggs, milk and cheese.
4. Get plenty of fluids
Highly recommended people consume plenty of fluids such as water or fruit juice. This can help the removal of uric acid. Suggested water consumption can be up to 10 glasses a day (2.5 liters). Fruits that contain lots of water is also very important, such as watermelon, honeydew, cantaloupe, star fruit and guava. Fruit is in the digestive tract are converted into alcohol should be limited (durian and pineapple).
5. Avoid alcohol
Although it is believed that the consumption of alcohol in moderation will not cause a gout attack, but it is recommended that patients with acute gout should not consume them.
6. Weight control
Obese people who suffer from gout should lose weight gradually. Sudden reduction of calories in order to lose weight should not be done. This will cause ketonomia that trigger attacks. It seems ketones and uric acid compete for out of the body through the urine, and uric acid were defeated and eventually still stuck in the body.